Impact of a Brief Motivational Interview on Drinking Behaviors of At Risk Drinkers Screened in the Emergency Room
- Conditions
- Alcohol Abuse
- Registration Number
- NCT00183183
- Lead Sponsor
- UConn Health
- Brief Summary
Alcohol abuse is associated with injury, chronic illness, absenteeism from work, and social costs to families and communities. The goal of this project is to translate motivational interventions successful in the primary care setting to the Emergency Department (ED) environment by implementing screening, brief intervention and referral to treatment (SBIRT) in order to reduce at-risk drinking among ED patients.
- Detailed Description
To evaluate the effectiveness of SBIRT in the emergency room setting, ED patients meeting NIAAA criteria for high risk drinking were recruited from 14 sites nationwide (control group-Spring, 2004; intervention group-Summer, 2004). 26% of screened ED patients met inclusion criteria. All enrollees received a list of local referral resources. Intervention group patients also participated in a 15 minute negotiated interview and ED staff referred them directly for treatment if indicated. Enrollees completed 3-month follow-up surveys with a telephone Interactive Voice Response (IVR) system. A total of 1137 patients were enrolled across 14 sites (561 intervention, 576 control), with 62% male, 37% Black, and 38% White, and a mean age of 37. At baseline intervention-i and control-c groups were similar in demographic characteristics and number of drinks on a typical day (mean-i 5.00, mean-c 5.12) and maximum drinks on a given day in the past month (mean-i 7.51, mean-c 7.33). The 3 month follow-up rate was 62% (n=687); the 6 month follow-up rate was 52% (n=567). The 12 month follow up is currently underway.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1137
-
Age 18+
-
Communication in English or Spanish
-
Met NIAAA criteria for "at-risk drinking":
- for Men: 15 or more drinks/week, or 5 or more drinks on a single occasion
- for Women: 8 or more drinks/week, or 4 or more drinks on a single occasion
- Age 65 or over: 8 or more drinks/week or more than 1 drink per day
- Requests detox or already in alcohol treatment program
- Abnormal mental status
- Too ill to give consent
- Unable to provide consent for other reasons
- Suicidal
- Employee or student of site institution (where required)
- Prisoner
- Inability to follow up
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Quantity of drinks per day Frequency of drinking days per week
- Secondary Outcome Measures
Name Time Method Completing alcohol related treatment Reporting negative alcohol related events
Trial Locations
- Locations (15)
Charles R. Drew University of Medicine and Science/Matrin Luther King Hospital
🇺🇸Los Angeles, California, United States
University of Connecticut Health Center
🇺🇸Farmington, Connecticut, United States
University of Denver/Denver Health Medical Center
🇺🇸Denver, Colorado, United States
Section of Emergency Medicine/Yale University School of Medicine
🇺🇸New Haven, Connecticut, United States
Tufts-New England Medical Center Hospital/Tufts University
🇺🇸Boston, Massachusetts, United States
Boston University Medical Center
🇺🇸Boston, Massachusetts, United States
The University of New Mexico Hospital/Health Sciences Center
🇺🇸Albuquerque, New Mexico, United States
University of Michigan Hospital and Health System / Department of Emergency Medicine
🇺🇸Ann Arbor, Michigan, United States
University of Virginia Health System, University Hospital
🇺🇸Charlottesville, Virginia, United States
Rhode Island Hospital / Brown University / Department of EM and Injury Prevention Center
🇺🇸Providence, Rhode Island, United States
University of Southern California Keck School of Medicine / Los Angeles County+University of Southern California Medical Center
🇺🇸Los Angeles, California, United States
University of California San Diego Medical Center - Hillcrest
🇺🇸San Diego, California, United States
Howard University/College of Medicine/Department of Pharmacology and Emergency Medicine
🇺🇸Washington, District of Columbia, United States
Department of Emergency Medicine Emory University School of Medicine / Emergency Care Center of the Grady Memorial Hospital
🇺🇸Atlanta, Georgia, United States
Cooper Health/Department of Emergency Medicine at UMNDJ-RWJMS
🇺🇸Camden, New Jersey, United States